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Nicotine Tob Res. 2010 Dec;12(12):1228-35. doi: 10.1093/ntr/ntq175. Epub 2010 Oct 29.

Long-term smoking relapse: a study using the british household panel survey.

Author information

1
Department of Social Medicine, University of Bristol, Bristol, United Kingdom. james.hawkins@bristol.ac.uk

Abstract

BACKGROUND:

There is limited population-based evidence on long-term smoking relapse rates after 1 year of abstinence. We estimate the incidence of relapse and evaluate demographic, health, socioeconomic characteristics, and episodic events associated with an increased probability of relapse.

METHODS:

Smoking relapse is studied using a subsample of individuals in the annual British Household Panel Survey, between 1991 and 2006, who reported not being a smoker for at least 1 year (two consecutive surveys) after previously reporting smoking (n = 1,578). A random-effects panel logit regression was used to examine the association between smoking relapse and length of abstinence, demographic, socioeconomic, and health variables.

RESULTS:

Data were available on individuals for a mean of 5.2 years after the initial 1-year smoking abstinence. We estimated that 37.1% (34.0%-40.5%; 95% CI) of the sample would relapse within 10 years. Increased length of abstinence, increased age, being married, being educated to degree level, and a high frequency of General Practitioner (GP) visits were significantly associated with a lower risk of relapse. Conversely, higher relapse rates were significantly associated with mental health problems and having a partner who started smoking.

CONCLUSIONS:

A significant proportion of smokers relapse after more than 1 year of abstinence. This study sheds light on factors associated with long-term relapse. This can form the basis for designing public health interventions to prolong abstinence and targeting interventions at former smokers at the highest risk of relapse.

PMID:
21036960
DOI:
10.1093/ntr/ntq175
[Indexed for MEDLINE]

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